Organization
FOUR RIVERS CORRECTIONAL PHARMACY
Active
Other names
Snake River Correctional Institution-ODOC (Remove)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROB C. NUTT RPH (CHIEF PHARMACY OFFICER)
(541) 709-1958
Entity
Organization
Contact information
Practice address
88 SW 3RD AVE, ONTARIO, OR 97914
(503) 986-6969
(541) 889-0027
Mailing address
2757 22ND ST SE, SALEM, OR 97302
(503) 378-5449
(503) 378-8902
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
—
—
Other
Enumeration date
08/09/2010
Last updated
04/17/2024
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